IndividualActive
Chrystal Bougon
NPI 1023709326 · Specialist · Campbell, CA
Chrystal Bougon is a Specialist provider in Campbell, CA (NPI 1023709326).
Provider details
- NPI number
- 1023709326
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- L9647 (CA)
Practice location
610 E. Campbell Ave
Suite 10a
Campbell, CA 95008
Phone: (408) 712-3809
Street-level locationGet directions
Mailing address
610 E. Campbell Ave
Campbell, CA 95008
Registry dates
- Enumerated
- 2023-05-17
- Last updated
- 2023-05-17
- Certified
- 2023-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.